| NPI | 1508892019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONCEPCION FRAGA President 305-255-9520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312638) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |